PREMIER CARE AND LEARNING CENTER, INC (NPI# 1679594782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679594782 |
| Entity Type | Organization |
| Organization Name | PREMIER CARE AND LEARNING CENTER, INC |
| Other Organization Name | PREMIER CARE CLINIC |
| Practice Address |
2110 Hollywood Ave Shreveport LA 71108-3922 |
| Practice Telephone | 3186355900 |
| Practice Fax Number | 3186355601 |
| Mailing Telephone | 3186355900 |
| Mailing Fax Number | 3186355601 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. FLORINE KESSEE-DOYLE (DIRECTOR) |
| Authorized Official Telephone | 3186355900 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1443760 | 05 |
| Other Name | Type Code |
|---|---|
| Premier Care Clinic | Other Name - Individual/Organization |
| Street Address |
2110 HOLLYWOOD AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71108-3922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528551140 | Berkelia Player | Case Manager/Care Coordinator | 8108 Kingston Road Suite 101 B, Shreveport, LA 71108 | 2018-06-08 |
| 1548757305 | Kenya Cawthorne | Counselor | 1520 Oakdale St, Shreveport, LA 71108 | 2018-04-17 |
| 1083112890 | Chantanell Johns | Case Manager/Care Coordinator | 8101 Kingston Rd Ste 101b, Shreveport, LA 71108 | 2018-01-26 |
| 1912425935 | Mildred Rivers | Case Manager/Care Coordinator | 4718 Hearne Ave, Shreveport, LA 71108 | 2017-08-30 |
| 1790205326 | Britney Ashton | Case Manager/Care Coordinator | 1910 Hickory St, Shreveport, LA 71108 | 2017-06-24 |
| 1548792674 | La'travia Jackson | Case Manager/Care Coordinator | 3430 Fernwood Ln, Shreveport, LA 71108 | 2017-03-29 |
| 1962941476 | Johnetta Marshall | Counselor | 6901 Despot Rd, Shreveport, LA 71108 | 2017-02-16 |
| 1295283992 | Shaun Cooper | Case Manager/Care Coordinator | 8824 Ruth Ave, Shreveport, LA 71108 | 2016-09-12 |
| 1508313735 | Tara Black | Counselor | 7019 Louise St, Shreveport, LA 71108 | 2016-09-06 |
| 1659828960 | Maranda Bolden | Counselor | 4906 Merlin Circle, Apt 4906, Shreveport, LA 71108 | 2016-09-02 |
| Find all providers in zip 71108 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432970 | Genetics Collection LLC | Clinic/Center | 214 W 70th St Ste 205, Shreveport, LA 71106-3756 | 2020-09-17 |
| 1992219836 | Gallego Health | Clinic/Center | 115 Hallette Dr, Shreveport, LA 71115-2959 | 2017-11-30 |
| 1265772586 | Walter Asseff | Clinic/Center | 2014 Beth Ln, Shreveport, LA 71118-2708 | 2013-02-23 |
| 1861671869 | Mid-city Family Clinic, LLC | Clinic/Center | 838 Margaret Pl, Shreveport, LA 71101-4509 | 2007-10-26 |
| 1447360524 | Ross H Dies Dds and J Cody Cowen Dds A Dental LLC | Clinic/Center | 910 Bert Kouns Industrial Loop, Shreveport, LA 71118 | 2006-08-30 |
| 1932181054 | The Arthritis & Rheumatology Clinic, A Medical Corporation | Clinic/Center | 740 Jordan St, Shreveport, LA 71101-4616 | 2005-11-15 |
| 1285635540 | Louisiana State University Health Sciences Center Viral Disease Clini | Clinic/Center | 6670 Saint Vincent Ave, Shreveport, LA 71106-2638 | 2005-08-09 |
| 1871083162 | The Healing Clinic, LLC | Clinic/Center | 745 Olive St Ste 109, Shreveport, LA 71104-2250 | 2018-05-14 |
| 1427490937 | Bombinamd LLC | Clinic/Center | 4140 Hollywood Ave, Suite B-2, Shreveport, LA 71109-7818 | 2013-07-25 |
| 1073950028 | Diabetes Assessment and Management Center of Shreveport, LLC | Clinic/Center | 1560 Irving Pl, Suite 501, Shreveport, LA 71101-4604 | 2013-05-31 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71108 |
Please comment or provide details below to improve the information on PREMIER CARE AND LEARNING CENTER, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.